Provider Demographics
NPI:1134312903
Name:ULOFOSHIO, FELIX
Entity Type:Individual
Prefix:MR
First Name:FELIX
Middle Name:
Last Name:ULOFOSHIO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O.BOX 211342
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99521-1342
Mailing Address - Country:US
Mailing Address - Phone:907-230-1503
Mailing Address - Fax:907-334-9599
Practice Address - Street 1:6254 EAST 41ST AVENUE
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99504
Practice Address - Country:US
Practice Address - Phone:907-230-1503
Practice Address - Fax:907-334-9599
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-24
Last Update Date:2007-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health